MEDICARE: MARJORIE COLLINS ARNP, FNP , PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN93229285	FL
2	363LF0000X	Family Nurse Practitioner	APRN9322985	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518449313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE COLLINS ARNP, FNP , PMHNP

Provider Business Mailing Address
First Line	:	8927 HYPOLUXO RD STE A4
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-5249
Country	:	US
Telephone Number	:	561-706-4392
Fax Number	:

Provider Business Practice Location Address
First Line	:	5414 RIVERMILL LN
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7439
Country	:	US
Telephone Number	:	561-706-4392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2018
Last Update Date	:	02/20/2024

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